SEWING  101

STUDENT REGISTRATION & HOLD HARMLESS FORM

                                                              Date________________________

name_____________________________________________

address____________________________________________

         ___________________________________________

contact phone______________cell phone__________

e-mail__________________________

students age_________________________________________________________

Start date:___________________

Class day and time: check applicable space 

___Monday weekly:                      Saturday:weekly:___

___Monday bi-weekly:                  Saturday: bi-weekly:___

___Summer Camps:                      Summer Camps: _____

___AM session                            PM sessions_________

please fill out and e-mail or print and return this form with payment at least one week before the first class to:

                            SEWING 101 STUDIOS

                            2008 Westchester Drive

                            Silver Spring, Md, 20902

                            Phone: 301-968-5116      

*make check or money order payable to: RENEE HILL

Hold Harmless Agreement

I understand the sewing instructor/s will do her best to prevent an accident from occuring, however,I, the undersigned, agrees to hold instructor, Renee Hill/ Sewing 101 harmless and waive any and all claims of liability for any accident or injury that may occur while attending sewing class and and any sewing related activities held by the sewing instructor.

signature_________________________________   date____________

*Please register early..........class size is limited!